Trial Outcomes & Findings for Bioequivalence of a Fixed Dose Combination Tablet of Empagliflozin/Metformin Extended Release Compared With Mono Compound Tablets in Healthy Male and Female (NCT NCT02266472)

NCT ID: NCT02266472

Last Updated: 2017-03-09

Results Overview

Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

30 participants

Primary outcome timeframe

-1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Results posted on

2017-03-09

Participant Flow

This was an open-label, randomised, 2-way crossover trial with 2 treatments (T and R) and 2 treatment sequences (T\_R and R\_T). Trial drug administrations of the 2 single dose treatments were separated by a washout period of at least 7 days.

Participant milestones

Participant milestones
Measure
Fed 10mg+1000mg Fixed Dose Combination (FDC)/Single (TR)
Subjects received in period 1 a single dose of 10 mg empagliflozin/1000 mg metformin hydrochloride (HCl) extended release (XR) (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 10 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Fed 10mg+1000mg Single/FDC (RT)
Subjects received in period 1 a single dose of 10 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Period 1+ Washout
STARTED
15
15
Period 1+ Washout
COMPLETED
15
15
Period 1+ Washout
NOT COMPLETED
0
0
Period 2+ Washout
STARTED
15
15
Period 2+ Washout
COMPLETED
15
15
Period 2+ Washout
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bioequivalence of a Fixed Dose Combination Tablet of Empagliflozin/Metformin Extended Release Compared With Mono Compound Tablets in Healthy Male and Female

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fed 10mg+1000mg FDC/Single (TR)
n=15 Participants
Subjects received in period 1 a single dose of 10 mg empagliflozin/1000 mg metformin hydrochloride (HCl) extended release (XR) (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 10 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Fed 10mg+1000mg Single/FDC (RT)
n=15 Participants
Subjects received in period 1 a single dose of 10 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
33.5 years
STANDARD_DEVIATION 8.1 • n=5 Participants
33.7 years
STANDARD_DEVIATION 10.1 • n=7 Participants
33.6 years
STANDARD_DEVIATION 9.0 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: Pharmacokinetic set (PKS) included all treated subjects that provided at least 1 observation for at least 1 primary endpoint without important protocol violations with respect to the statistical evaluation of the pharmacokinetic endpoints.

Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

Outcome measures

Outcome measures
Measure
Fed 10mg+ 1000mg FDC (T)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+1000mg Single (R)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-tz of Empagliflozin in Plasma
2190 nmol*h/L
Geometric Coefficient of Variation 18.1
2210 nmol*h/L
Geometric Coefficient of Variation 16.3

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS

Area under the concentration-time curve of metformin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

Outcome measures

Outcome measures
Measure
Fed 10mg+ 1000mg FDC (T)
n=29 Participants
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+1000mg Single (R)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-tz of Metformin in Plasma
10800 ng*h/mL
Geometric Coefficient of Variation 20.1
10700 ng*h/mL
Geometric Coefficient of Variation 22.4

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS

Maximum measured concentration of the empagliflozin in plasma

Outcome measures

Outcome measures
Measure
Fed 10mg+ 1000mg FDC (T)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+1000mg Single (R)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
Cmax of Empagliflozin in Plasma
243 nmol/L
Geometric Coefficient of Variation 23.1
245 nmol/L
Geometric Coefficient of Variation 20.4

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS

Maximum measured concentration of the metformin in plasma

Outcome measures

Outcome measures
Measure
Fed 10mg+ 1000mg FDC (T)
n=29 Participants
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+1000mg Single (R)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
Cmax of Metformin in Plasma
1170 ng/mL
Geometric Coefficient of Variation 25.5
1080 ng/mL
Geometric Coefficient of Variation 25.2

SECONDARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity.

Outcome measures

Outcome measures
Measure
Fed 10mg+ 1000mg FDC (T)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+1000mg Single (R)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-infinity of Empagliflozin in Plasma
2230 nmol*h/L
Geometric Coefficient of Variation 18.0
2260 nmol*h/L
Geometric Coefficient of Variation 16.3

SECONDARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity.

Outcome measures

Outcome measures
Measure
Fed 10mg+ 1000mg FDC (T)
n=29 Participants
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+1000mg Single (R)
n=30 Participants
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-infinity of Metformin in Plasma
11000 ng*h/mL
Geometric Coefficient of Variation 20.8
10800 ng*h/mL
Geometric Coefficient of Variation 22.7

Adverse Events

Fed 10mg+1000mg Single (R)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Fed 10mg+ 1000mg FDC (T)

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fed 10mg+1000mg Single (R)
n=30 participants at risk
Subjects received a single dose of 10 mg empagliflozin (1 tablet) together with a single dose of 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 10mg+ 1000mg FDC (T)
n=30 participants at risk
Subjects received a single dose of 10 mg empagliflozin/1000 mg metformin HCl XR (1 tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Nervous system disorders
Headache
16.7%
5/30 • From first drug administration until the end-of-trial examination (Up to 14 days)
13.3%
4/30 • From first drug administration until the end-of-trial examination (Up to 14 days)
Gastrointestinal disorders
Diarrhoea
6.7%
2/30 • From first drug administration until the end-of-trial examination (Up to 14 days)
3.3%
1/30 • From first drug administration until the end-of-trial examination (Up to 14 days)
Gastrointestinal disorders
Nausea
6.7%
2/30 • From first drug administration until the end-of-trial examination (Up to 14 days)
0.00%
0/30 • From first drug administration until the end-of-trial examination (Up to 14 days)

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim

Phone: 800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place